Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Illinois Pathology, PC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1588649024

Southern Illinois Pathology, PC is an Anatomic Pathology & Clinical Pathology Physician in Carbondale, Illinois. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

404 W Main St Pathology Dept
Carbondale, IL 62901-2904
Phone: (618) 549-0721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1588649024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chandrashekar Padmalatha — President · (618) 549-0721
NPI enumeratedDecember 7, 2005
Last updated in NPPESMarch 14, 2011
Mailing address231 W Main St, Ste Bw Attn: Lisa Brower, Carbondale, IL 62901-2948

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